Fracture device



March 13, 1928 L. G. M CUTCHEN FRACTURE DEVICE Original Filed Feb. 1 1927 5 Sheets-Sheet l Invemar l l. G. ffkk irerz.

Attomgy March 13, 1928.

L. G. M CUTCHEN FRACTURE DEVI CE 3 Sheets-Sheet 2 Original Filed Feb. 15. 1927 March 13, 1928.

, 1,662,464 L. G. MCCUTCHEN FRACTURE DEVI CE Griginal Filed Feb. 15. m2 5 Sheets-Sheet a B] Attornqy Inventor l. 6'. j 'afc/zem,

Patented Mar. 13, 1928.

U-NlTI-ID STATES PATENT orric E.

nnx GLIN neco'rcnnn, on ST. LOUIS, mrssonnr.

rnncrunn nnvrcn Application filed February 15, 1927, Serial No. 168,342. Renewed January 5, 1925.

This invention relates to a structure which maybe reiterredtmin its entirety, as a fracture device; that is, a-device for settin fractured bones inhuman limbs. ,At the outset, I shallmention that the devicefis of aportable nature and is employed in conjunction with a regular X-ray table and anordinary fiuoroscope, thus enabling the fragmentsofbroken bones to be visualizedas they are pulled in .the apposition by the improved extension device.

I aim to ,produce a structure which is characterized by simplicity of construction, convenience and arrangement, ready adaptability Ztor the particular case .at hand, and one which is otherwise practical and .efiicient in operation, and'use.

.The various structural features and :advantages which accompany the same will become apparent from the following description and drawings.

In theaccompanying drawings .Figure 1 is top plan view showing the complete structure as associated with an X- ray' table.

.Fig. 2isa sideelevation of the same.

Fig. 3 isuanend elevation looking in 'a direction ,from right to let't in ;.Fig.

Fig. .4 is .a fragmentary topplanshowing ,the method of adjustment, of :the buttock seat.

Fig. 5 isan-enlarged cross section on :the line 5 fiotFig. .1.

Fig. 6 ,is asimilar view showingaa slightly modified embodiment of the invention.

Fig. 7 is awperspective view of the buttock seat, per se. v

-.Referring to the drawings in detail, it willxbe seen thatlthereference character 1 designatesa regular .X-ray table, the topof which is of :general rectangular elongated configuration. Extending transversely across the/ iable at apoint between the center and one end isan 'arcuate metal track 2. As shown better in Figs. 5 and 6, this track is provided lwithmargin alguide channels, and a sliding .shoe 3 is mounteid .for movement therein. a

The shoe is constructed .forengagement with'the -guide channels. Also, it isprovided with suitable set screws 4. formaintaining it-in'uarious adjusted-positions. In this connection, it will be noticed thatI have. shown the -shoc adjusted in dotted line position, particularly in Figs. 1 and A.

Rising from the central portion of the shoe, 1s a rigid vertical standard 5. Inc1- dentally, this standard may be of the construction shown in Figs. 1 and 2. In the latter instance, forms a handle. 'Connected with, and extending at right angles from the adjust-able shoe, is an extensible arm 7 composed of overlapping sections 8 and 9. The outer section 9 is provided with a pivot pin 10 which is rotatably mounted in the bearing bracket 11 secured toone end of the. table as shown. If desired,

a brace 12 -(see Fig. 5) maybe provided between the standards 5 and the section 8 of the extensible arm.

I would directattention at this time,to the fact that suitable angular end brackets 13 are connected with theends of the arcuate tracks and are provided with set screws whereby they may be detachably connected with the longitudinal edges of the tables. This allows the tracks to be removed to.- gether with the shoe. standard, and extensible arm as a single unit.

In :using the device,I employ a suitably constructed adjustable, cutl 14 of appropriate/material, and this is provided with. attaching means 15 including a cord 16 which is intended .to be connected with a hook on a slidingsleeve 18. The sleeve 18 is mounted on the horizontal portion .19 of a swing-ably mounted lever. The vertical portion 20 of thislever isrotatably mounted inbracketsQl on the end of the table. A suitable shoulder forming collar 22, is ,em ployed for maintaining the :lever in proper position with respect to the bearing brackets.

'(looperating with this lever is asupport ,andretainingmember of somewhat similar construction in that it includes a horizontal arm 23 on the upper end of a vertical legQ-i .rotatably mounted in bearings brackets 25 on the table-end. Here again, the shoulder the horizontal section 6 60 it Will be seen that the standard 5 may be in itself of right angular form or a right angular tubular member may be employed for detachable connection therewith in the manner just described.

Disposed between the lower end of this portion '2? and the extensible arm 7 is an api iropriately designed buttock seat 29 having a retaining neck 30, which rotatably surrounds the standard.

The operation of the device is as lows To begin with, it will be observed that the swingably mounted extensible arm '7 adapted to serve as a support for the patient. In the form of the invention represented in Fig. 1, a suitable seat- (not shown) is placed upon the arms. and the patient is seated thereon with his legs straddling the standard. In the form represented in Figs. 4 to 7, inclusive, the patient is seated upon the special buttock seat 2.). The limb is placed in the cull 14-. Then the string or cord 16 is attached to the book 17 on the slidin, sleeve 18. The shoe 3 is adjusted to the most desirable position for the case at hand, in order that the leg may be disposed in alinement with the end. Double adjustment is provided: that is, the shoe and seat may be adjusted transversely of the table about the pivot 10, and secured in place by the set screws and also the anchoring sleeve 18 may be adjusted along the horizontal portion 19 of the swingable lever. Then when the device is properly adjusted. the lever is swung in the direction of the arrow and the follower sleeve 18 is moved along on the swingable arm 23 to hold the lever in the position to which it has been moved.

For reduction of fracture of the upper extremity, the standard and its accessory 6 is placed under the arm or axilla. with the cult attached at the wrist. and the pull is made by the aforesaid lever. The standard can be moved along the are of the track to either side of the table. depending on the arm which is fractured. For the lower extremities, the standard is placed in the middle of the are and in the crotch ot the patient. The cult is then attached to the ankle and then to the lever, with which the extension is made. The standard and its accessories together with the seat, serve to provide a comfortable means tor seating the patient, and enabling the patient to be held in position while the extension is being pulled by proper manipulation of the lever.

From the foregoing description and draw ingl's it will be seen that I have evolved and produced an exceptionally simple and inexpensive contri 'ance in the form of a portable attachment for an X-ray table which allows fractures in arms and legs to be treated with facility and eiiiciency. It is thought that the construction, of the parts as well as their lot relative association and cooperation is quite clear. Therefore, a more lengthy description is thought unnecessary.

Minor changes coming within the field of the invention claimed may he resorted to if desired.

Having), thus described my invention, what I claim as new is:

1. In a fracture device of the class dcscribcd, in combiimtion, a table, a transverse arcuate track attached to said table, a swingably mounted support for the patient having one end adjustably connected with said track, a swingably mounted lever, 11 retaining device therefor, and means whereby the fractured part may be dctachably connected with said lever.

2. In a fracture device of the class described, in combination, a. table, an arm pivotally connected to one end of the table and extending in parallelism with the top of the table, an arcuate track extending transversely across the table adjacent the center of the table, a shoe slidably and adjustably connected with the track and with the inner end of said arm, a swingably mounted lever mounted on a vertical axis at the opposite end of said table, retaining means therefor, and means whereby the fractured part may be connected with said lever.

53. In av structure of the class described, a table, an extensible arm pivotally connccted to one end of said table, an arcuate track fastened transversely across the table adjacent the opposite end of said arm, a shoe, said arm being connected with said shoe, said shoe being slidably and adjustably mounted in said track. a standard rising from said arm, a swingably mounted lever at the opposite end of the table, and means whereby the fractured part is connected with said lever.

4. In a structure of the class described, in combination a table, a swingably mounted support for the patient at one end of the table, a right angular lever at the opposite end, the vertical portion of the lever being mounted for swinging about a vertical axis at the last named end of the table, a sleeve carried by the horizontal portion of the lover. a hook carried by said sleeve, and adjustable retaining means for the horizontal lever.

5. In a structure of the class described, in combination a table, a swingably mounted support for the patient at one end of the table, a right angular lever at the opposite end. the vertical portion of the lever being mounted for swinging about a vertical axis at the last named end of the table, a sleeve carried by the horizontal portion of the lever, a hook carried by said sleeve, adjustable retaining means for the horizontal lever, said adjustable retaining means comprising a member of right angular form having a. vertical leg for swinging about a vertical axis of the last named end of the table and end of the arm, ashoe slidably mounted in including a horizontal arm, there being an said track, said arm being connected with additional sleeve slidably mounted on said said shoe, :1 standard rising from said shoe arm, and said last sleeve being provided with and arm, and a buttock seat rotata-bly l a keeper hook with which the horizontal pormounted on said standard, together with ext-ion of said lever is detachably connect-ed. tension produeingxmeans at the opposite end 6. In a structure of the class described, of said table.

atable, an extension, an extensible arm In testimony whereof I afiix my signature. mounted for pivotal swinging at one en'd of l the table, an arcuate guide track at the inner LEX GLIN MGCUTCHEN. 

